Provider Data Analyst II

Job Description

Job Description

We have an opportunity to join the Alliance as a Provider Data Analyst II in the Operations Management Department.

WHAT YOU'LL BE RESPONSIBLE FOR

Reporting to the Provider Data Manager, this position :

• Supports the overall accuracy, completeness, and integrity of the Alliance's provider data
• Supports the implementation, maintenance, and optimization of Alliance's provider applications
• Performs data analysis and research to support provider data management strategies

THE IDEAL CANDIDATE

• Experience performing provider data configuration in a Medi-Cal managed care setting
• Experience using SQL for data analysis
• Balance working both independently and collaboratively
• Ability to organize work, manage multiple projects, maintain accurate records, respond to changing priorities, pay close attention to detail and achieve goals and objectives
• Demonstrates a strong capacity to rapidly acquire new skills and knowledge, adapting efficiently to changing environments and challenges.

WHAT YOU'LL NEED TO BE SUCCESSFUL

To read the full position description and list of requirements click here

• Knowledge of :
• Managed care concepts
• Analytical and research techniques
• Healthcare terminology, provider types and classifications, provider data terminology, and other regulatory standards
• Principles and practices of software configuration, including the methods and techniques of using SQL for data analysis
• Data transmission, provider file formats, such as 274, provider rosters, provider directories, HIPAA, and data analysis
• Ability to :
• Identify and troubleshoot issues, collect, analyze and interpret data, identify alternative solutions, make recommendations for action and prepare written reports
• Organize work, manage multiple projects, maintain accurate records, respond to changing priorities, pay close attention to detail and achieve goals and objectives
• Collect, interpret, and evaluate data
• Analyze and write process maps, work instructions and documentation
• Compile and present information and reports to internal stakeholders
• Education and Experience :
• Bachelor's degree in Computer Science, Healthcare, Business Administration or a related field
• Three years of experience in a managed care setting performing provider data configuration (a Master's degree may substitute for two years of the required experience);

or an equivalent combination of education and experience may be qualifying

OTHER INFORMATION

• We are in a hybrid work environment and we anticipate that the interview process will take place remotely via Microsoft Teams.
• While some staff may work full telecommuting schedules, attendance at quarterly company-wide events or department meetings will be expected.
• In-office or in-community presence may be required for some positions and is dependent on business need. Details about this can be reviewed during the interview process.

The full compensation range for this position is listed by location below.

The actual compensation for this role will be determined by our compensation philosophy, analysis of the selected candidate's qualifications (direct or transferrable experience related to the position, education or training), as well as other factors (internal equity, market factors, and geographic location).

Typical areas in Zone 1 : Bay Area, Sacramento, Los Angeles area, San Diego area

Typical areas in Zone 2 : Fresno area, Central Valley (with the exception of Sacramento), Eastern California, Eureka area

Zone 1 (Monterey, San Benito and Santa Cruz)

$66,450 $106,330 USD

Zone 2 (Mariposa and Merced)

$60,470 $96,762 USD

OUR BENEFITS

• Medical, Dental and Vision Plans
• Ample Paid Time Off
• 12 Paid Holidays per year
• 401(a) Retirement Plan
• 457 Deferred Compensation Plan
• Robust Health and Wellness Program
• Onsite EV Charging Stations
• And many more

ABOUT US

We are a group of over 500 dedicated employees, committed to our mission of providing accessible, quality health care that is guided by local innovation.

We feel that our work is bigger than ourselves. We leave work each day knowing that we made a difference in the community around us.

The Alliance is an equal employment opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender perception or identity, national origin, age, marital status, protected veteran status, or disability status.

We are an E-Verify participating employer

Join us at Central California Alliance for Health (the Alliance) is an award-winning regional Medi-Cal managed care plan that provides health insurance for children, adults, seniors and people with disabilities in Mariposa, Merced, San Benito and Santa Cruz counties.

We currently serve more than 418,000 members. To learn more about us, take a look at our Fact Sheet .

At this time the Alliance does not provide any type of sponsorship. Applicants must be currently authorized to work in the United States on a full-time, ongoing basis without current or future needs for any type of employer supported or provided sponsorship.